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Coronary Artery Anomalies

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Anomalous origin of the left coronary artery from the right aortic sinus: probably benign variant associated with a subpulmonic intramyocardial course – a case report.

Anja Hanser, Andreas Hornung, Ludger Sieverding, Jürgen Schäfer, Michael Hofbeck,

BackgroundAnomalous aortic origin of the left coronary artery (AAOLCA) from the right aortic sinus is a rare congenital anomaly associated with significantly increased risk of myocardial ischemia, arrhythmias and sudden cardiac death. This refers specifically to AAOLCA associated with interarterial and/or intramural course. Much less is known about anomalous origin ... Read more >>

BMC Pediatr (BMC pediatrics)
[2020, 20:]

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Sudden Cardiac Death Revealed by an Anomalous Origin of the Right Coronary Artery from the Left Sinus of Valsalva.

Samuel Bruls, Rodolphe Durieux, Olivier Gach, Patrizio Lancellotti, Jean-Olivier Defraigne,

Aberrant origin of the coronary artery from the opposite sinus of Valsalva is a rare congenital coronary anomaly associated whit increased risk of myocardial ischemia and sudden death in young patient. We report a case of resuscitated sudden cardiac death in a patient with an anomalous origin of the right ... Read more >>

Ann. Thorac. Surg. (The Annals of thoracic surgery)
[2020, :]

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Malignant right coronary artery in an athlete: Evidence-less based medicine?

Raja Ef Raja Shariff, Sazzli S Kasim,

A 31-year-old man presented with central chest heaviness. He was a smoker of 15 pack-years, but otherwise had no other comorbidities. He was also a professional footballer. There was no family history of sudden cardiac deaths of note. In view of a low to intermediate pre-test probability for coronary artery ... Read more >>

Clin Med (Lond) (Clinical medicine (London, England))
[2020, 20(2):215-216]

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Cavotricuspid isthmus ablation for atrial flutter: Anatomic challenges and troubleshooting.

Georgios Christopoulos, Konstantinos C Siontis, Ugur Kucuk, Samuel J Asirvatham,

HeartRhythm Case Rep (HeartRhythm case reports)
[2020, 6(3):115-120]

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Anomalous origin of the left coronary artery from the pulmonary artery: A surgical certainty.

Ayesha Butt, Muhammad Muneer Amanullah, Mehnaz Atiq Amanullah, Asif Hasan, Waris Ahmad,

This study aims to assess the clinical presentation and the outcomes of a surgical correction of an anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). A retrospective review was carried out on the charts of six patients admitted for ALCAPA surgery at Aga Khan University Hospital, ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(3):561-564]

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Left anterior descending artery hyper dominance giving rise to the posterior descending artery: an extremely rare coronary anomaly and its clinical implications.

Muhammad Shabbir Rawala, Alex Munoz, S Tahira Shah Naqvi, Mohammad Hassan Pervaiz,

The prevalence of congenital coronary artery anomalies is approximately 1% in the general population. They are a common cause of sudden death in younger persons. The origination of the posterior descending artery (PDA) from left anterior descending (LAD) artery is an extremely rare anomaly. We present a case of a ... Read more >>

J Community Hosp Intern Med Perspect (Journal of community hospital internal medicine perspectives)
[2020, 10(1):76-80]

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An Unusual Entity: Woven Coronary Artery Anomaly.

María T López-Lluva, José Abellán-Huerta, Ignacio Sánchez-Pérez, Pedro Pérez Díaz, Fernando Lozano Ruíz-Poveda,

The recognition of woven coronary artery anomaly is difficult because of its rare nature. Optical coherence tomography imaging is challenging due to the tortuosity of the channels; however, it is crucial not only for the differential diagnosis but also to guide the treatment approach. ... Read more >>

J Invasive Cardiol (The Journal of invasive cardiology)
[2020, 32(3):E73]

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Coronary Artery Anomaly in Takotsubo Cardiomyopathy: Cause or Innocent Bystander?

Christoph Gräni, Christoph Grunwald, Stephan Windecker, George C M Siontis,

Coronary artery anomalies can provoke intermittent vasospasm and endothelial dysfunction, which can cause takotsubo cardiomyopathy. However, in takotsubo cardiomyopathy, apical myocardial regions are typically affected, and these do not correlate with a specific epicardial coronary distribution territory. We report the case of a 74-year-old woman who presented with acute respiratory ... Read more >>

Tex Heart Inst J (Texas Heart Institute journal)
[2020, 47(1):44-46]

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Coronary anomalies in tetralogy of Fallot - A meta-analysis.

Claire J Koppel, Monique R M Jongbloed, Philippine Kiès, Mark G Hazekamp, Bart J A Mertens, Martin J Schalij, Hubert W Vliegen,

BACKGROUND:An anomalous coronary artery is reported in 2% to 23% of patients with tetralogy of Fallot (TOF). Knowledge of coronary anatomy prior to corrective surgery is vital to avoid damage to vessels crossing the right ventricular outflow tract (RVOT). A meta-analysis on the prevalence of anomalous coronary arteries in TOF ... Read more >>

Int. J. Cardiol. (International journal of cardiology)
[2020, :]

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A case report of right coronary artery agenesis diagnosed by computed tomography coronary angiography.

Ernesto Forte, Bruna Punzo, Marco Agrusta, Marco Salvatore, Gianluca Spidalieri, Carlo Cavaliere,

INTRODUCTION:Single coronary artery is a rare condition characterized by the origin of a coronary that supplies the entire heart from a single coronary ostium. PATIENT CONCERNS:A 45-year-old woman with an altered exercise testing was addressed to a computed tomography coronary angiography (CTCA) to rule out coronary artery disease (CAD). DIAGNOSIS:CTCA ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(7):e19176]

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Optical coherence tomography and fractional flow reserve guided treatment of woven coronary artery anomaly presenting as acute myocardial infarction: A case report.

Fangfang Wang, Jiangli Han, Lijun Guo,

RATIONALE:Woven coronary artery is a very rare congenital anomaly which may lead to acute coronary syndrome in previous literatures. At present, there is no consensus on the treatment of this coronary artery abnormality. PATIENT CONCERNS:A 48-year-old male was admitted to the other hospital because of persistent chest pain. The electrocardiogram ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(7):e19163]

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Diagnostic Challenge in a Symptomatic Patient of Arteria Lusoria with Retro-esophageal Right Subclavian Artery and Absent Brachiocephalic Trunk.

Hina Akbar, Arslan Kahloon, Rehan Kahloon,

A combination of absent brachiocepahlic trunk and anomalous left circumflex artery with a retro-esophageal right subclavian artery is an extremely rare finding. This can clinically manifest as episodic dysphagia and chest pain. Routine coronary angiography via femoral access could be misleading and right radial access in such cases can be ... Read more >>

Cureus (Cureus)
[2020, 12(2):e7029]

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Intramural coronary pattern in patients with transposition: incidence and impact on follow-up.

Maciej Moll, Jadwiga A Moll, Jacek J Moll, Monika Łubisz, Krzysztof W Michalak,

OBJECTIVES:Coronary complications are still the main reason for early mortality after an arterial switch operation. The high incidence of coronary anomalies in patients with transposition of the great arteries may increase the difficulty of coronary transfer, and among them, an intramural pattern was shown to be an independent risk factor ... Read more >>

Eur J Cardiothorac Surg (European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery)
[2020, :]

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Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery: A Systematic Review.

Timothy M Guenther, Elan A Sherazee, Andrew D Wisneski, Joshua D Gustafson, Curtis J Wozniak, Gary Raff,

BACKGROUND:Anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a rare congenital cardiac lesion that has been diagnosed in both children and adults with symptoms ranging from an asymptomatic murmur to sudden cardiac death. The aim of this review was to characterize published cases of ARCAPA ... Read more >>

Ann. Thorac. Surg. (The Annals of thoracic surgery)
[2020, :]

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Anomalous retinal artery associated with branch retinal artery occlusion and neovascular glaucoma: A case report.

Wan-Ju Yang, Yan-Ning Yang, Ming-Gao Cai, Yi-Qiao Xing,

BACKGROUND:Congenital anomalous retinal artery is rare and does not typically affect visual acuity. However, an abnormal artery that passes through and supplies blood to the macular area complicated with branch retinal artery occlusion may negatively impact visual acuity. This study reports an unusual case of anomalous retinal artery combined with ... Read more >>

World J Clin Cases (World journal of clinical cases)
[2020, 8(5):980-985]

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Coronary Arteriovenous Fistula

Subash Nepal, Pavan Annamaraju,

Coronary arteriovenous fistula (CAVF) is a rare form of congenital heart disease. However, it is the most common type of congenital coronary artery anomalies.[1][2].An arteriovenous fistula is an abnormal conduit between the artery and vein, typically bypassing the capillaries in between. When present between the coronary artery and cardiac chambers, it is ... Read more >>

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[Analysis of four children with anomalous origin of the left coronary artery from the right sinus with interarterial course].

Q R Li, Z Zhen, J Na, L Gao, Y L Cao, Y Yuan,

Objective: To investigate the clinical features and improve the diagnosis and treatment of anomalous origin of the left coronary artery from the right coronary sinus with an interarterial course (ALCA-R-IAC) between the ascending aorta and main pulmonary artery in children. Methods: A retrospective analysis of the clinical manifestation, laboratory test, ... Read more >>

Zhonghua Er Ke Za Zhi (Zhonghua er ke za zhi = Chinese journal of pediatrics)
[2020, 58(2):113-117]

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Myocardial Ischemia in Children With Anomalous Aortic Origin of a Coronary Artery With Intraseptal Course.

Tam T Doan, Rodrigo Zea-Vera, Hitesh Agrawal, Carlos M Mery, Prakash Masand, Dana L Reaves-O'Neal, Cory V Noel, Athar M Qureshi, S Kristen Sexson-Tejtel, Charles D Fraser, Silvana Molossi,

BACKGROUND:Intraseptal anomalous aortic origin of a coronary artery is considered a benign condition. However, there have been case reports of patients with myocardial ischemia, arrhythmia, and sudden cardiac death. The purpose of this study was to determine the clinical presentation, myocardial perfusion on provocative stress testing, and management of children ... Read more >>

Circ Cardiovasc Interv (Circulation. Cardiovascular interventions)
[2020, 13(3):e008375]

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An updated review on myocardial bridging.

Ghulam Murtaza, Debabrata Mukherjee, Shahyar M Gharacholou, Aravinda Nanjundappa, Carl J Lavie, Abdul Ahad Khan, Madhan Shanmugasundaram, Timir K Paul,

Myocardial bridging is a congenital coronary anomaly with normal epicardial coronary artery taking an intra-myocardial course also described as tunneled artery. The majority of patients with this coronary anomaly are asymptomatic and generally it is a benign condition. However, it is an important cause of myocardial ischemia, which may lead ... Read more >>

Cardiovasc Revasc Med (Cardiovascular revascularization medicine : including molecular interventions)
[2020, :]

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Acute rupture of a sinus of Valsalva aneurysm into the right atrium: a case report and a narrative review.

Ata Doost, Julie-Ann Craig, Siang Yong Soh,

BACKGROUND:Sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly which has potential for spontaneous rupture into other cardiac chambers or the pericardial space (depending on its location). A ruptured SVA has a very poor prognosis with high morbidity and mortality. The development of a shunt between the sinus of ... Read more >>

BMC Cardiovasc Disord (BMC cardiovascular disorders)
[2020, 20(1):84]

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Incidental Anomalous Left Coronary Artery in a Transplanted Heart.

Sri Harsha Patlolla, Saraschandra Vallabhajosyula, Malcolm R Bell,

Anomalous coronary artery is an uncommon congenital cardiac anomaly that is often detected incidentally on coronary angiography. It has rarely been reported in the donor heart of patients who have undergone cardiac transplantation. Here, we report a case of a 72-year-old patient who received a second heart transplant and has ... Read more >>

Case Rep Cardiol (Case reports in cardiology)
[2019, 2019:2715896]

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Recommendations for Multimodality Assessment of Congenital Coronary Anomalies: A Guide from the American Society of Echocardiography: Developed in Collaboration with the Society for Cardiovascular Angiography and Interventions, Japanese Society of Echocardiography, and Society for Cardiovascular Magnetic Resonance.

Peter Frommelt, Leo Lopez, V Vivian Dimas, Benjamin Eidem, B Kelly Han, H Helen Ko, Richard Lorber, Masaki Nii, Beth Printz, Shubhika Srivastava, Anne Marie Valente, Meryl S Cohen,

J Am Soc Echocardiogr (Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography)
[2020, 33(3):259-294]

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Is Carotid Intima-Media Thickness Increased in Adults With Congenital Heart Disease?

Barbara Reiner, Renate Oberhoffer, Anna-Luisa Häcker, Peter Ewert, Jan Müller,

Background Because of the increasing numbers of congenital patients surviving into adulthood, early diagnosis and prevention of acquired cardiovascular disease is reasonable. The aim of this study was to detect diagnostic subgroups of adults with congenital heart disease (ACHD) that have increased carotid intima-media thickness (cIMT), a subclinical marker of ... Read more >>

J Am Heart Assoc (Journal of the American Heart Association)
[2020, 9(3):e013536]

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Aberrant right coronary artery in a grown up congenital cardiac patient, successfully treated 46 years earlier with a double Starr-Edwards silastic ball valve replacement: a case report.

Andrea Ponsiglione, Gianrico Spagnuolo, Gabriella Spagnuolo, Arnaldo Stanzione, Carmela Nappi, Serena Dell'Aversana, Antonio Spagnuolo, Alberto Cuocolo, Massimo Imbriaco,

BACKGROUND:The Starr-Edwards ball valve prosthesis was successfully introduced in 1961-62 and largely used for aortic and mitral valve replacement. Even if Starr-Edwards valves have been widely replaced in clinical practice by other mechanical valves, they define a standard concerning long-term durability. CASE PRESENTATION:We describe the case of a 55-year-old man ... Read more >>

BMC Cardiovasc Disord (BMC cardiovascular disorders)
[2020, 20(1):37]

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Natural Coronary Bypass: A Rare Case of Aortocoronary Fistula in a Patient with Three-Vessel Disease.

Syed Arsalan Ahmed Naqvi, Syed Danish Zaidi, Owais Gul, Mudassir Iqbal Dar, Abdul Aziz,

Coronary arterial fistula (CAF) is an abnormal connection between one or both coronary arteries and a cardiac/extra-cardiac chamber or another vessel. Aortocoronary fistula is a rare type of CAF, which involves an anomalous connection between coronary arteries and any segment of aorta. The following case report describes the case of ... Read more >>

Cureus (Cureus)
[2020, 12(2):e7023]

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